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Head-to-head · Cost-Efficiency Index

EOS Health vs Lean Rx

Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.

Better valueGrade C · #286

EOS Health

Shoppers who want a LegitScript-verified nationwide option, but who should get the real monthly cost confirmed before assuming $99 applies long-term.

Visit EOS Health
VS
Grade C · #288

Lean Rx

Shoppers who don't need transparency on credentials before comparing headline prices.

Visit Lean Rx

The verdict

Too close to callGrade C vs C

EOS Health and Lean Rx tie on the Cost-Efficiency Index at 58/100, so neither wins outright on the numbers. For most shoppers we'd start with EOS Health (ranked #286, a hair above #288) — Shoppers who want a LegitScript-verified nationwide option, but who should get the real monthly cost confirmed before assuming $99 applies long-term. But Lean Rx is a genuine coin-flip alternative here.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs EOS Health.

Factor by factor

Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.

Normalized Cost/Month

73
45

Price Transparency

38
78

Nationwide Access

66
24

Formulation Options

53
77

Clinical Oversight

87
80

Contract Flexibility

20
55

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecEOS HealthLean Rx
Cost-Efficiency Index58/10058/100
Semaglutide / mo$99/mo (compounded)$266/mo (starting dose, compounded)
Tirzepatide / moNot disclosed$399/mo (starting dose, compounded)
Semaglutide / yr (modeled)$1,188$3,192
Tirzepatide / yr (modeled)$4,788
Coverage40 statesCoverage not published
Oral / sublingualNoYes
Brand-name accessCompounded onlyCompounded only
Rank here#286#288

EOS Health

58/100

Where the value is

  • Genuine, verifiable LegitScript certification with a working verify-approval link
  • Available in all 50 states
  • Named clinical operator (Arora Health & Aesthetics, LLC)

The tradeoffs

  • Headline '$99' price is unconfirmed as a true single-month cost -- likely tied to a longer commitment
  • No compounding pharmacy partner specifically named
Visit EOS Health

Full EOS Health review →

Lean Rx

58/100

Where the value is

  • Offers both semaglutide and tirzepatide
  • Simple, low headline starting prices
  • Straightforward telehealth consultation flow described

The tradeoffs

  • No LegitScript certification displayed anywhere on the site
  • No named medical director or compounding pharmacy partner
Visit Lean Rx

Full Lean Rx review →

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.

Keep comparing

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